Individual
DR. KIMBERLY PATRICIA CUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1101 JOHNSON AVE, MYRTLE BEACH, SC 29577
(843) 232-2423
Mailing address
1101 JOHNSON AVE, MYRTLE BEACH, SC 29577-1893
(843) 232-2423
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
29899
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/03/2014
Last updated
04/15/2019
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